SALLY M VAIL DDS (Credential# 157058) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SALLY M VAIL DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015706. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 64 Washington St, Mystic, CT 06355. The current status is active.
| Licensee Name | SALLY M VAIL DDS |
| Credential ID | 157058 |
| Credential Number | CSP.0015706 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
64 Washington St Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 701825 | 2.007118 | Dentist | 1987-08-19 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 64 WASHINGTON ST |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terry Selburg | 64 Washington St, Mystic, CT 06355-2811 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Linda J Robson Dds | 64 Washington St, Mystic, CT 06355 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Selina S. Patel Vail | 4653 Franklin Park Dr, Sterling Heights, MI 48310-1941 | Controlled Substance Registration for Practitioner | 2017-01-05 ~ 2019-02-28 |
| Sally H Kwa Md | 229 W 97th St #5a, New York, NY 10025 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Sally H Ginsburg | 123 Dwight Rd, Longmeadow, MA 01106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally D Romano Md | 19 Fenn Rd., Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally A Newbrough | 83 Sachem St#3r, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Sally Austin-fitzpatrick Od | Po Box 361, New Hartford, CT 06057-0361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally M Bowles | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Sally A Cote | 21 South Rd, Farmington, CT 06030-4035 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sally L Satel | 601 Pennsylvania Ave, Washington, DC 20004 | Controlled Substance Registration for Practitioner | 1994-02-25 ~ 1996-02-01 |
| Sally G Haskell | 90 Neck Road, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SALLY M VAIL DDS.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).